| NPI | 1659433845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08233700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT183583) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-10-01 |