| NPI | 1174816250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.128175) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.128175) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.128175) | |
| 208000000X Pediatrics (Licence: OH 35128175) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.128175) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.128175) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2025-04-23 |