| NPI | 1215953179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.063198) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 116760) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-09-06 |