| NPI | 1235245341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 20028) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-079250) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-09-20 |