| NPI | 1114089471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08666500) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0012890) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-02-16 |