NPI | 1750348660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA056473) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ MA0564700) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2013-05-07 |