| NPI | 1316175557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.133359) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2009016033) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2018-10-16 |