NPI | 1013974500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MB56549) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ MB56549) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2018-02-27 |