| NPI | 1700804838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA04439500) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-07-23 |