| NPI | 1467554782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M9955) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.153552) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-15651) | |
| 207L00000X Anesthesiology (Licence: OH 35.143552) | |
| 207L00000X Anesthesiology (Licence: OK 24228) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX M9955) | |
| 207L00000X Anesthesiology (Licence: AR E-15651) | |
| 207L00000X Anesthesiology (Licence: IN 01053295A) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2026-07-03 |