| NPI | 1942320924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB08094200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 0002468) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2023-03-30 |