| NPI | 1750319174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA04440100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY A148058) |
| 207L00000X Anesthesiology (Licence: FL ME119009) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-04-16 |