| NPI | 1235168964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 185465) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 185465) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-10-03 |