| NPI | 1093806713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA03691400) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA36914) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-01-25 |