| NPI | 1760431209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB06618700) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MB66187) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-10-02 |