| NPI | 1003172750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.014027) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 61730) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2019-09-16 |