NPI | 1609261700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WV 30758) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2021036074) |
207L00000X Anesthesiology (Licence: AL 38281) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA11596300) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: MS 27887) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL 149715) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 91352) | |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: LA 326470) | |
Enumeration Date | 2015-04-06 |
Last Update Date | 2024-10-14 |