| NPI | 1952347536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 217294) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 72118) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-07-30 |