| NPI | 1548328586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 252463-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 225604) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-07-06 |