| NPI | 1497016232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 291184) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SD 10930) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2021-04-05 |