| NPI | 1083970842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.122049) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301111467) |
| 207L00000X Anesthesiology (Licence: OH 35.122049) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2018-10-22 |