| 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 |