| NPI | 1144248154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB06885800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS009184L) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-08-23 |