| NPI | 1811132897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY MD268351) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA09379600) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2016-09-17 |