| NPI | 1184945305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 265787) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125054823) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 125054823) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-01-26 |