| NPI | 1073952198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10045600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT203421) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-12-22 |