| NPI | 1275876229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 297140) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 297140) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2025-08-06 |