| NPI | 1851343008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB07601100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS011897) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2026-09-01 |