| NPI | 1437542792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 34.014125) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58.008168) |
| 207L00000X Anesthesiology (Licence: OH 34.014125) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2022-12-23 |