| NPI | 1851341424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25IA12535200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 37743) |
| 207L00000X Anesthesiology (Licence: OH 35.082031) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 37743) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-03-21 |