| NPI | 1437190345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35-078586) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 18502) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-04-03 |