| NPI | 1043484181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA04015300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04015300) |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2008-04-19 |