| NPI | 1730508821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB10372000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 299790) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-10-27 |