| NPI | 1396844023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA57231) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ ma57231) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-05-11 |