| NPI | 1740246867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA46296) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NJ MA46296) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |