| NPI | 1538120514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08218700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 226767) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2010-08-25 |