| NPI | 1568571651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD046654L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 14871) |
| 207L00000X Anesthesiology (Licence: MI 4301062114) | |
| 207L00000X Anesthesiology (Licence: NC 29372) | |
| 207L00000X Anesthesiology (Licence: RI MDO8133) | |
| 207L00000X Anesthesiology (Licence: PA 046654-L) | |
| 207L00000X Anesthesiology (Licence: ND 5806) | |
| 207L00000X Anesthesiology (Licence: MO 119440) | |
| 207L00000X Anesthesiology (Licence: OH 78660) | |
| 207L00000X Anesthesiology (Licence: MN 44245) | |
| 207L00000X Anesthesiology (Licence: IN 01060124A) | |
| 207L00000X Anesthesiology (Licence: HI 11831) | |
| 207L00000X Anesthesiology (Licence: AK 4894) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-04-13 |