NPI | 1083119259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 315307) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 315307) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2023-02-09 |