| NPI | 1851476246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD433884) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 234828) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-01-20 |