| NPI | 1518163427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME132934) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME132934) |
| 207L00000X Anesthesiology (Licence: VA 0101244313) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101244313) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-02-18 |