| NPI | 1275745655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA09824900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD437420) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD437420) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-03-05 |