| NPI | 1497701221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09931300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME81564) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-07-17 |