| NPI | 1033379532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08388100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25mao8388100) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-11-14 |