| NPI | 1609845197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX L8871) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 350641210) |
| 207L00000X Anesthesiology (Licence: OH 35064121) | |
| 207L00000X Anesthesiology (Licence: TX L8871) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2025-10-08 |