| NPI | 1154368892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35080449) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PR 011362) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-12-29 |