| NPI | 1447423678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX S4231) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR ME131022) |
| 207L00000X Anesthesiology (Licence: TX S4231) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 59565) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-9933) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME131022) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2025-05-22 |