| NPI | 1528075413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C164562) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 236826) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-10-03 |