| NPI | 1124345996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.123307) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57-018101) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2014-05-29 |