| NPI | 1144285602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.124078) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2005021464) |
| 207L00000X Anesthesiology (Licence: CA G64221) | |
| 207L00000X Anesthesiology (Licence: VA 0101047756) | |
| 207L00000X Anesthesiology (Licence: ID M7130) | |
| 207L00000X Anesthesiology (Licence: NE 23203) | |
| 207L00000X Anesthesiology (Licence: WY 7836A) | |
| 207L00000X Anesthesiology (Licence: PA MD438898) | |
| 207L00000X Anesthesiology (Licence: ND 13268) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2015-03-25 |