| NPI | 1053582205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35094900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.094900) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2022-07-21 |