| NPI | 1619538881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MB11925900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014122) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2025-07-02 |