| NPI | 1225005366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 130235) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 130235) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2012-10-29 |