| NPI | 1821053372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MA07230800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 220884) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ MA07230800) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-09-18 |