| NPI | 1346514122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NE 2748) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.133859) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2023-07-31 |