| NPI | 1609163369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MB09936600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS18922) |
| 207L00000X Anesthesiology (Licence: NJ 25MB09936600) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DC DO034510) | |
| 207L00000X Anesthesiology (Licence: NY 268322) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 268322) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2024-05-03 |