| NPI | 1316968530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 223609) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 223609) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2013-11-21 |