| NPI | 1285834895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA09121100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 262028) |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2022-09-20 |