NPI | 1275951824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME135791) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME135791) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2019-09-05 |