| NPI | 1891766846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L1911) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 1577) |
| 207L00000X Anesthesiology (Licence: FL OS8067) | |
| 207L00000X Anesthesiology (Licence: KY 02880) | |
| 207L00000X Anesthesiology (Licence: IL 036-112834) | |
| 207L00000X Anesthesiology (Licence: GA 055856) | |
| 207L00000X Anesthesiology (Licence: MO 2005003642) | |
| 207L00000X Anesthesiology (Licence: AL DO-912) | |
| Enumeration Date | 2006-01-29 |
| Last Update Date | 2013-04-09 |