| NPI | 1518982883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 263472) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE c10007338) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-03-01 |