| NPI | 1487776852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.098348) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: UT 9718964-8905) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: UT 9718964-1205) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 44600) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-10-13 |