| NPI | 1285953919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA12418400) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 273990) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2025-05-13 |