| NPI | 1760573471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 154438) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08711200) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-10-23 |