| NPI | 1114931961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A105350) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 240385) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2017-10-31 |