| NPI | 1356578033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.122098) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD456783) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.122098) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2020-10-05 |