| NPI | 1417039074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA04481300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA04861300) |
| 207L00000X Anesthesiology (Licence: NJ MA48613) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-03-25 |