| NPI | 1649445362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10162800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 245141) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-08-14 |