| NPI | 1427257955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA09701400) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD431661) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2025-01-06 |