| NPI | 1396755906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.061268) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-061268) |
| 174400000X Specialist (Licence: OH 35-061268) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-12-22 |