| NPI | 1558434548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MB06999700) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ MB06999700) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-01-17 |