NPI | 1174563431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 235004) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 235004) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2022-12-28 |