NPI | 1508866716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 14161) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 174943) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2011-07-11 |