| NPI | 1528066503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA05333700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA53337) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-09-18 |