| NPI | 1932595402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 313161) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR 192165) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2021-11-12 |