| NPI | 1437146743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 227245) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 227245-1) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 013918) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 227545) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2021-10-18 |