| NPI | 1427371202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35097714) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R1568) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2017-04-24 |