| NPI | 1669436317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA07727000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 229189-1) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2012-12-12 |