| NPI | 1295995066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 256181) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08728200) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 256181) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08728200) | |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2013-06-18 |