| NPI | 1588856116 |
|---|---|
| Former Name | LARS VAN ETTEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 46518) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: CO 46518) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2022-11-10 |