| NPI | 1467617753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA11705000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0054007) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CO DR.0054007) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA11705000) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-04-25 |