| NPI | 1770526311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 155340) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-11459) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-06-21 |