| NPI | 1447358858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25ma08119700) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA0811970) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-12-31 |