| NPI | 1457515322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08397800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 248387) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |