| NPI | 1437261732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 41261) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 1739321) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-09-30 |