| NPI | 1316913627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35-070405) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD423598) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2025-04-29 |