| NPI | 1194798819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD042659L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 217587-1) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 217587-1) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD042659L) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: PA MD042659L) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 217587-1) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD042659L) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2021-03-01 |