| NPI | 1740446053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 269347) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 051303) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2013-06-26 |