| NPI | 1275791170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 235623) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA11134800) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA11134800) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2024-04-09 |