| NPI | 1538149810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB08266900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS012221) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2025-08-07 |