| NPI | 1700128030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 293572) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 293572) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-07-23 |