| NPI | 1033197694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.00512) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34005132) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2010-12-02 |