| NPI | 1558434654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB05221500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MB52215) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-12-14 |