| NPI | 1861464786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 262847) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A8194) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2015-01-05 |