| NPI | 1568494391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME88553) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA03325600) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-11-16 |