| NPI | 1215950399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA07858400) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD482290) |
| 207L00000X Anesthesiology (Licence: NY 234727) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-11-28 |