| NPI | 1750361523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME0043723) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME0043723) |
| 208VP0000X (Licence: FL ME0043723) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME0043723) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2013-12-30 |