| NPI | 1023392313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 17126) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 945337) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2016-09-14 |