| NPI | 1265522734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR R-4266) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY TP783) |
| 208000000X Pediatrics (Licence: KY TP783) | |
| 207L00000X Anesthesiology (Licence: KY TP783) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2026-01-12 |