| NPI | 1467495671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 30041) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G23197) |
| 207L00000X Anesthesiology (Licence: FL ME0018394) | |
| 207L00000X Anesthesiology (Licence: FL ME 89063) | |
| 207L00000X Anesthesiology (Licence: IL 36043325) | |
| 207L00000X Anesthesiology (Licence: CO 40703) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-10-25 |