NPI | 1265750673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 272985) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 272985) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2020-11-24 |