| NPI | 1528045507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2007-01731) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D95693) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NC 2007-01731) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D95693) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: SC MD 15264) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: SC 15264) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-04-14 |