| NPI | 1619948908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD435560) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 234708) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-08-27 |