NPI | 1558990150 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA12756800) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 319152) |
Enumeration Date | 2020-04-06 |
Last Update Date | 2025-08-29 |