NPI | 1912952540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 001755) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 001755) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2022-11-17 |