| NPI | 1407842115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.097102) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 35614) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA 35614) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IA 35614) | |
| 207L00000X Anesthesiology (Licence: OH 35.097102) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2023-08-05 |