| NPI | 1578532404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NJ 25MA05298600) |
| Additional Taxonomies | 207LA0401X Anesthesiology Addiction Medicine (Licence: NJ 25MA05298600) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-08-30 |