| NPI | 1447538814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A136497) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 270076) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A136497) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2015-06-25 |