| NPI | 1982737003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 216776) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA07333300) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-05-26 |