| NPI | 1366596082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 155680) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 155680) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 155680) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NY 155680) | |
| 208000000X Pediatrics (Licence: NY 155680) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-03-17 |