| NPI | 1376985978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA12133300) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD480492) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MT205062) | |
| 208600000X Surgery (Licence: PA MT205062) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2024-12-16 |