| NPI | 1134177041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 248641) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME95645) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-12-09 |