| NPI | 1124361720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34-006651) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102050017) |
| 207L00000X Anesthesiology (Licence: DC DO034371) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |