| NPI | 1881801850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08571900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT186697) |
| 207L00000X Anesthesiology (Licence: PA MD437252) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-05-30 |