| NPI | 1427071513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 36206) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35078776) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-10-27 |