| NPI | 1467629436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD010663) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C42686) |
| 207L00000X Anesthesiology (Licence: NY 246503-1) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |