| 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 |