| NPI | 1447425806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 57244) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 70374) |
| 207L00000X Anesthesiology (Licence: MI 4301093913) | |
| 207L00000X Anesthesiology (Licence: MA 22561) | |
| 207L00000X Anesthesiology (Licence: OH 35099052) | |
| 207L00000X Anesthesiology (Licence: IL 036168058) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 263375-1) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-01-09 |