| NPI | 1184629511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA32408) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA03240800) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2015-03-19 |