| NPI | 1457306052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME92249) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME92249) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-06-30 |