| NPI | 1881759199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25ma06720400) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CO 60561) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-09-20 |