| NPI | 1427132034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 215745-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 215745) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-08-04 |