| NPI | 1396713327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 267667-1) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY P40289) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101238396) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2014-06-05 |