| NPI | 1962667188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD442349) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD442349) |
| 207L00000X Anesthesiology (Licence: NJ 25MA09065800) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA09065800) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2018-11-12 |