| NPI | 1689917312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA11255800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01078505A) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2022-03-15 |