| NPI | 1831137397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N6708) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA07729900) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-06-20 |