| NPI | 1043201452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 237504) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 215688) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 215688) | |
| 207L00000X Anesthesiology (Licence: NY 237504) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-04-28 |