| NPI | 1932378148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 245988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60 245988) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2015-01-08 |