| NPI | 1841465010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08742000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 254650) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-03-23 |