| NPI | 1013985233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 043161) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 174438-1) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-01-10 |