| NPI | 1861054819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA11795600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125075207) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2023-07-31 |