| NPI | 1295925535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.066875) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT190045) |
| 207L00000X Anesthesiology (Licence: PA MD443825) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2020-11-11 |