| NPI | 1770559106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME83779) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD057350L) |
| 207L00000X Anesthesiology (Licence: TX M0572) | |
| 207L00000X Anesthesiology (Licence: MD D0061557) | |
| 207L00000X Anesthesiology (Licence: LA MD200699) | |
| 207L00000X Anesthesiology (Licence: WV 22522) | |
| 207L00000X Anesthesiology (Licence: VT 042-0011204) | |
| 207L00000X Anesthesiology (Licence: AZ 36094) | |
| 207L00000X Anesthesiology (Licence: CT 044948) | |
| 207L00000X Anesthesiology (Licence: MO 2007010578) | |
| 207L00000X Anesthesiology (Licence: CO 45513) | |
| 207L00000X Anesthesiology (Licence: NV 12403) | |
| 207L00000X Anesthesiology (Licence: AR E-5351) | |
| 207L00000X Anesthesiology (Licence: KY 41215) | |
| Enumeration Date | 2006-02-25 |
| Last Update Date | 2007-10-10 |