| NPI | 1689782443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 2040881) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 204088) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-07-03 |