NPI | 1285955633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME 123419) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME 123419) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2015-09-03 |