| NPI | 1316904675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35084411) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME md25526) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-10-07 |