| NPI | 1871780692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB08877500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 2599211) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2011-06-27 |