| NPI | 1407836364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 194817) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA06738000) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA06738000) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NJ 25MA06738000) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-10-20 |