| NPI | 1487186581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 317013-01) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 317013-01) |
| 207L00000X Anesthesiology (Licence: IL 036176521) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-08-21 |