| NPI | 1316954043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA04670300) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA04670300) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-12-21 |