| NPI | 1669447454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 267941-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M8637) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2016-05-24 |