| NPI | 1194982298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C131307) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 248661) |
| 207L00000X Anesthesiology (Licence: NJ 25MA08467600) | |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2015-08-31 |