| NPI | 1497732879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NJ 25MA07126600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME81398) |
| 207L00000X Anesthesiology (Licence: NJ 25MA07126600) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: FL ME81398) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-04-10 |