| NPI | 1255466017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA03990800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA03990800) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2017-02-28 |