| NPI | 1316173446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09489100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME115869) |
| 208600000X Surgery (Licence: FL TRN13968) | |
| 207L00000X Anesthesiology (Licence: NY 266950) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2026-04-21 |