| NPI | 1093876310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA06468800) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NJ MA06468800) |
| 208000000X Pediatrics (Licence: NJ MA06468800) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-04-17 |