| NPI | 1801935796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-11526) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.098485) |
| 207L00000X Anesthesiology (Licence: AR e-11526) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.098485) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-10-09 |