| NPI | 1861735326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10442400) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 265132) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-11-05 |