| NPI | 1538134291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 19110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA md00045612) |
| 208000000X Pediatrics (Licence: AK 5148) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AK 5148) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA a66373) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA md00045612) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: AK 5148) | |
| 207L00000X Anesthesiology (Licence: AK 5148) | |
| 207L00000X Anesthesiology (Licence: CA A66373) | |
| 208000000X Pediatrics (Licence: CA A66373) | |
| 207L00000X Anesthesiology (Licence: WA md00045612) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-08-10 |