| NPI | 1275977019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 293869) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A14005) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2018-09-05 |