| NPI | 1174684880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME99308) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ MA04351900) |
| 207L00000X Anesthesiology (Licence: NJ MA04351900) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-08-15 |