| NPI | 1851665467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09061300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P6987) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2023-08-16 |