| NPI | 1881666147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB05539000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS21505) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2025-03-20 |