| NPI | 1245288273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ d03604000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301049866) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-09-10 |