| NPI | 1770725335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 273229) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 273229) |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2019-03-20 |