| NPI | 1396752556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 259442-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G57747) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-11-28 |