| NPI | 1043262751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NJ 25MA07031600) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD054340L) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-02-09 |