National Provider Identifier (NPI):
1164420246
License Number:
161058-1205
Medical School:
Univ Of Ne Coll Of Med, Omaha Ne 68198
Residency Training:
Univ Of Ut Med Ctr, Anesthesiology; Univ Of Ut Med Ctr, Flexible Or Transitional Year
Certifications:
Anesthesiology