| NPI | 1114366366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA10603000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10603000) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-07-19 |