| NPI | 1154593127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.094788) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME96579) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2018-06-11 |