| NPI | 1215075908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 193523) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 193523) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: NY 193523) | |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: NY 193523) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 193523) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 193523) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 193523) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2023-04-10 |