NPI | 1932109170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 65665) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 201176) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2011-05-20 |