| NPI | 1144420134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 262658) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A97498) |
| 207L00000X Anesthesiology (Licence: CA A97498) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2015-09-25 |