| NPI | 1447251020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA05424800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 54248) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2022-04-06 |