| NPI | 1033425277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09713600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 275345) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2023-12-17 |