| NPI | 1295044113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 58) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03127234-1) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2019-12-18 |