| NPI | 1871569491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.139453) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2017-01277) |
| 207L00000X Anesthesiology (Licence: PA md424159) | |
| 207L00000X Anesthesiology (Licence: WV 23915) | |
| 207L00000X Anesthesiology (Licence: MN 61551) | |
| 207L00000X Anesthesiology (Licence: MI 4301108796) | |
| 207L00000X Anesthesiology (Licence: SC 40952) | |
| 207L00000X Anesthesiology (Licence: NV 17569) | |
| 207L00000X Anesthesiology (Licence: FL ME122415) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-08-23 |