| NPI | 1528250396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2013-00140) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 245659) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2018-12-13 |