| NPI | 1336146851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 191033) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA 65839) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2024-10-08 |