| NPI | 1487728408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A91175) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 243079) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-01-08 |