| NPI | 1548433691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25ma08689300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 2433801) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2020-01-15 |