| NPI | 1942268388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 338165) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.074494) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.074494) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 49812) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-12-01 |