| NPI | 1326086273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 180952-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA05987400) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-10-02 |