| NPI | 1427444306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10980000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 297864) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2025-06-25 |