| NPI | 1013181221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 266300-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08345400) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2012-10-25 |