| NPI | 1205922911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 68513) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G136151) |
| 207L00000X Anesthesiology (Licence: AZ 46160) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 36070-20) | |
| 207L00000X Anesthesiology (Licence: WI 36070-020) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MN 68513) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AZ 46160) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA G136151) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-01-26 |