| NPI | 1417944398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 232406) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 62373) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-02-18 |