| NPI | 1013283811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 274758) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0058931) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2017-11-08 |