| NPI | 1124280144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 280025-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237230) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2016-09-13 |