| NPI | 1730446857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 289637) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25ma10665300) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2022-05-10 |