| NPI | 1194990820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 270532-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A120445) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2013-07-11 |