| NPI | 1720160427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NJ 25MA07011300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA07011300) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-05-03 |