| NPI | 1275978710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.147116) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 283152) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-08-28 |