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 | 2024-06-17 |