| NPI | 1790728939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 246441) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 246441) |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: NY 246441) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 246441) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-07-06 |