| NPI | 1275772212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB12165800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS015079) |
| Enumeration Date | 2009-02-15 |
| Last Update Date | 2024-07-12 |