| NPI | 1427434497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09847600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ P13-00744) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2024-11-07 |