| NPI | 1467667428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD27758) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 241335-1) |
| 207L00000X Anesthesiology (Licence: CA A81506) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2013-09-25 |