| NPI | 1427438522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 301829) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA11021000) |
| 207L00000X Anesthesiology (Licence: NY 301829) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2022-01-05 |