| NPI | 1780817056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME117755) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME 117755) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2022-09-12 |