| NPI | 1396701645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA10215900) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD068241L) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD068241L) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA 068241L) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-09-30 |