| NPI | 1740449412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD44550) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 248849) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2012-09-04 |