| NPI | 1366646887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 11534) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 9028) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-03-03 |