| NPI | 1194982322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 237397-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 237397) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2021-02-10 |