| NPI | 1487065330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T1708) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10740800) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA10740800) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2025-06-16 |