| NPI | 1992091888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: NJ 25MA09810500) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA09810500) |
| 207L00000X Anesthesiology (Licence: NJ 25MA09810500) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-07-24 |