| NPI | 1255421723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2021-1056) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C131576) |
| 207L00000X Anesthesiology (Licence: AR E4621) | |
| 207L00000X Anesthesiology (Licence: FL ME128176) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA C131576) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NM MD2021-1056) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-01-05 |