| NPI | 1386806222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-51648) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.152208) |
| 207L00000X Anesthesiology (Licence: CA A118264) | |
| 207L00000X Anesthesiology (Licence: MA 232334) | |
| 207L00000X Anesthesiology (Licence: MA 246690) | |
| 207L00000X Anesthesiology (Licence: IA MD-51648) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2025-06-03 |