| NPI | 1538331814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09113700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036118209) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2018-04-11 |