| NPI | 1184004277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.014992) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58.006001) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-04-07 |