| NPI | 1942560008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 281742) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 283226) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-01-20 |