| NPI | 1437328614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 51443-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.009196) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-05-14 |