| NPI | 1184659419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 218145) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 81166) |
| 207L00000X Anesthesiology (Licence: MD D 0052984) | |
| 207L00000X Anesthesiology (Licence: DC MD31319) | |
| 207L00000X Anesthesiology (Licence: NJ MA073376) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-10-21 |