| NPI | 1518907104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD-051302-L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0082352) |
| 207L00000X Anesthesiology (Licence: NJ 25MA05866900) | |
| 207L00000X Anesthesiology (Licence: NV 13544) | |
| 207L00000X Anesthesiology (Licence: CT 054171) | |
| 207L00000X Anesthesiology (Licence: NY 284527) | |
| 207L00000X Anesthesiology (Licence: WY 10198A) | |
| 207L00000X Anesthesiology (Licence: VA 0101228768) | |
| 207L00000X Anesthesiology (Licence: WA MD 60628120) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-08-24 |