NPI | 1639153778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0008409) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08574200) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2015-07-29 |