| NPI | 1134127111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA05866600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA58666) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-02-22 |