| NPI | 1639327133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08699600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 250288) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2026-01-13 |