| NPI | 1942245352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA07667500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME144438) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-11-13 |