| NPI | 1417939232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 178422) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08830900) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-10-17 |