| NPI | 1225024466 |
|---|---|
| Former Name | BRADLEY DARIN GEORGE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 98671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 049912) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2014-02-19 |