| NPI | 1427035559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35076265) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 49768) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-03-28 |