| NPI | 1235306770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 15012) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.013019) |
| 207L00000X Anesthesiology (Licence: OH 35.097019) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-03-18 |