| NPI | 1174581698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.063615) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.063615) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 50234) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY TP692) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-09-19 |