| NPI | 1356342828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 13051) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 175783) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-04-18 |