| NPI | 1376767079 |
|---|---|
| Former Name | TRACY JOSEPH GIESSMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 37627) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ID M-8414) |
| 207L00000X Anesthesiology (Licence: AZ 32547) | |
| 207L00000X Anesthesiology (Licence: FL ME-89192) | |
| 207L00000X Anesthesiology (Licence: CO 42192) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-10-24 |