NPI | 1881656635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA06472200) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA06472200) |
207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA06472200) | |
Enumeration Date | 2006-04-06 |
Last Update Date | 2010-07-07 |