| NPI | 1306072525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10099200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 253393) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2025-04-22 |