| NPI | 1427251297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2012-02354) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58001841) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-02-08 |