| NPI | 1437443322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB09241900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 4194) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2015-04-14 |