| NPI | 1144664525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA12228100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 283373) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2024-12-03 |