| NPI | 1811317985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A140621) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 292938) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2019-06-05 |