NPI | 1184674061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 205366) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 205366) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2012-01-20 |