| NPI | 1992865166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S9989) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102050103) |
| 207L00000X Anesthesiology (Licence: DC MD30801) | |
| 207L00000X Anesthesiology (Licence: WV 1711) | |
| 207L00000X Anesthesiology (Licence: OH 8191) | |
| 207L00000X Anesthesiology (Licence: NJ MB061288) | |
| 207L00000X Anesthesiology (Licence: MD H0051867) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-07-08 |