| NPI | 1194738708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA07378500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 223515) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-09-25 |