| NPI | 1154541175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08283100) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 245843) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-02-01 |