| NPI | 1205881430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 167608) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA053146) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-09-15 |