| NPI | 1437251675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 231847) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 2318471) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-03-22 |