| NPI | 1093987687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09525000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0073292) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2019-06-10 |