| NPI | 1831150002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY C3893) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME51023) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-16816) | |
| 207L00000X Anesthesiology (Licence: AR E-16816) | |
| 207L00000X Anesthesiology (Licence: VT 042.0018514-COMP) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD487616) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME51023) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2025-07-08 |