| NPI | 1053721662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 314191) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10263700) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2024-07-24 |