| NPI | 1841431269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U3678) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08568000) |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2023-10-09 |