| NPI | 1942654942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD473521) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA11308900) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD473521) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA11308900) | |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2024-06-04 |