| NPI | 1770539330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 243462) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD428406) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-05-17 |