| NPI | 1184937716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09228100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT198071) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2024-06-05 |