| NPI | 1538374806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 239937) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 243218) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-06-07 |