| NPI | 1043307127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA09591800) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 198253) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 29340) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 198253) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2022-07-21 |