| NPI | 1235333642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 2301241) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 230124) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-01-07 |