| NPI | 1831314921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08204900) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08204900) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-02-28 |