| NPI | 1518284751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09441000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61613437) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2025-01-06 |