| NPI | 1356335715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08482500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 239296) |
| 207L00000X Anesthesiology (Licence: NY 002116-1) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2023-05-15 |