| NPI | 1629114814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 283951) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 62230) |
| 207L00000X Anesthesiology (Licence: NV 17317) | |
| 207L00000X Anesthesiology (Licence: GA 077702) | |
| 207L00000X Anesthesiology (Licence: VA 0101260288) | |
| 207L00000X Anesthesiology (Licence: SC 40803) | |
| 207L00000X Anesthesiology (Licence: TN 56182) | |
| 207L00000X Anesthesiology (Licence: NJ 25MA10212000) | |
| 207L00000X Anesthesiology (Licence: MI 4301108907) | |
| 207L00000X Anesthesiology (Licence: MD D0068949) | |
| 207L00000X Anesthesiology (Licence: IL 036139686) | |
| 207L00000X Anesthesiology (Licence: PA MD433887) | |
| 207L00000X Anesthesiology (Licence: NY 283951-1) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 283951-1) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-12-09 |