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 | 2009-01-30 |