| NPI | 1952560526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS017856) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MB09036600) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2026-05-19 |