| NPI | 1326014879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 235206) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME68723) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2014-09-24 |