| NPI | 1548232432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX F0595) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 129702) |
| 207L00000X Anesthesiology (Licence: CO DR-45862) | |
| 207L00000X Anesthesiology (Licence: MO 2012005203) | |
| 207L00000X Anesthesiology (Licence: NC 2007-00793) | |
| 207L00000X Anesthesiology (Licence: PA MD431239) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2015-01-14 |