| NPI | 1578598454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME92950) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME92950) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-01-30 |