| NPI | 1477546604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 191466) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 19146) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-11-25 |