| NPI | 1164501102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD446741) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-3932) |
| 207L00000X Anesthesiology (Licence: MD D65389) | |
| 207L00000X Anesthesiology (Licence: AZ 37455) | |
| 207L00000X Anesthesiology (Licence: WA MD60175699) | |
| 207L00000X Anesthesiology (Licence: MT MED-PHYS-LIC-12462) | |
| 207L00000X Anesthesiology (Licence: FL ME99871) | |
| 207L00000X Anesthesiology (Licence: HI MD-14484) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-05-07 |