| NPI | 1215161807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OK 47520) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2024019541) |
| 207L00000X Anesthesiology (Licence: MO 2024019541) | |
| 207L00000X Anesthesiology (Licence: AZ 42188) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2026-05-19 |