| NPI | 1114949864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M4144) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.082878) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-04-12 |