| NPI | 1043229354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM A-2467-21) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2020021402) |
| 207L00000X Anesthesiology (Licence: CO 0060187) | |
| 207L00000X Anesthesiology (Licence: GA 87733) | |
| 207L00000X Anesthesiology (Licence: AZ 2214) | |
| 207L00000X Anesthesiology (Licence: OK 2569) | |
| 207L00000X Anesthesiology (Licence: NH 18886) | |
| 207L00000X Anesthesiology (Licence: IN 02007573A) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-12-13 |