| NPI | 1386877496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 52652) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 266137) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2013-07-08 |