| NPI | 1831307321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08592800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD433030) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-12-18 |