| NPI | 1821250424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 249059-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 249059) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-04-25 |