| NPI | 1043261449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08931500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 009801621) |
| 207L00000X Anesthesiology (Licence: GA 43907) | |
| 207L00000X Anesthesiology (Licence: PA MD471946) | |
| 207L00000X Anesthesiology (Licence: SC 23574) | |
| 207L00000X Anesthesiology (Licence: MD D0058794) | |
| 207L00000X Anesthesiology (Licence: RI MD09886) | |
| 207L00000X Anesthesiology (Licence: IL 036159222) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-12-15 |