| NPI | 1881618890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 252651) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 044060) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 044060) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 252651) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-01-05 |