| NPI | 1831283290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08775100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 82766) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-06-08 |