| NPI | 1407155385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35123832) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.123832) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2018-05-15 |