| NPI | 1265568315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C146298) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 240526-1) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2017-05-08 |