| NPI | 1326059049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS6392) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 183458) |
| 207L00000X Anesthesiology (Licence: MD H43222) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |