| NPI | 1144296906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35060140B) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101047804) |
| 207L00000X Anesthesiology (Licence: IN 01043175A) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |