| NPI | 1841261484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 202979) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 2029791) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2013-11-13 |