| NPI | 1114244365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 86410) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.127166) |
| 207L00000X Anesthesiology (Licence: GA 9768) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2022-10-20 |