NPI | 1972605137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08519500) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 256512) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2012-08-07 |