| NPI | 1548351257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA06731900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA067319) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-04-28 |