| NPI | 1982786067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA05373000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME142659) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2025-09-17 |