| NPI | 1699038810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 65622) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 65622) |
| 207L00000X Anesthesiology (Licence: KY C2081) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY C2081) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-05-28 |