| NPI | 1427201441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10382700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 268142) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 268142) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2019-07-13 |