| NPI | 1306047543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: TX N5483) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.089157) |
| 207LA0401X Anesthesiology Addiction Medicine (Licence: OH 35.089157) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: OH 35.089157) | |
| 207LH0002X Anesthesiology Hospice and Palliative Medicine (Licence: OH 35.089157) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: OH 35.089157) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OH 35.089157) | |
| 207L00000X Anesthesiology (Licence: TX N5483) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2015-10-06 |