| NPI | 1013995349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08403000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 179326) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2025-11-14 |