| NPI | 1619498524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD476649) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA11582900) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD476649) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA11582900) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-10-01 |