NPI | 1366408247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA07889500) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ MA07889500) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2013-05-01 |