| NPI | 1215226410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 012554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2530) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2024-01-17 |