| NPI | 1700043668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD433567) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NJ 25MA08056200) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD433567) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-12-20 |