| NPI | 1336428770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.125006) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.019374) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2020-11-20 |