| NPI | 1598926149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 254272) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 254272) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-04-09 |