| NPI | 1033117742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD12578) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA07551500) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-11-14 |