| NPI | 1427347897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MA09884700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA09884700) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-03-17 |