| NPI | 1346486347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.098027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098027) |
| 207R00000X Internal Medicine (Licence: VA 0101249551) | |
| Enumeration Date | 2008-12-21 |
| Last Update Date | 2022-07-06 |