| NPI | 1447647839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 72948) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.136276) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2026-06-04 |