| NPI | 1265685952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 125639) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 258937) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-06-02 |