| NPI | 1295352805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA12277200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220351) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-10-14 |