| NPI | 1033104104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34005265) |
| Additional Taxonomies | 208VP0000X (Licence: OH 34-005265) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2012-07-24 |