NPI | 1417584095 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.153410) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301511257) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2025-07-29 |