| NPI | 1801907068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 00517) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 182940) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-11-12 |