| NPI | 1447678404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA12535800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD464861) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2025-07-30 |