| NPI | 1932141496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 194039-1) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 194039-1) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-01-23 |