| NPI | 1023144706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G56986) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 246438) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-06-27 |