| NPI | 1093101123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME143696) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 264768) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2021-09-24 |