| NPI | 1811423890 |
|---|---|
| Former Name | ROBERT DANIEL PRATT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 317153) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 317153) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-07-17 |