| NPI | 1447427307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-5909) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.008257) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2009-04-14 |