| NPI | 1326021742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA07926500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 230982) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2016-08-22 |