| NPI | 1215160932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A115394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 247142) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2020-05-29 |