| NPI | 1316002553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08057500) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 229155-1) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-03-16 |