| NPI | 1013113836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.092292) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 026257) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-06-09 |