| NPI | 1477848919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NJ 25MA09710300) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 284933-1) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2016-09-09 |