| NPI | 1538443908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS024650) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MB12845000) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2025-09-25 |