| NPI | 1447665492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.011987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH AG2820579-G2939) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2022-01-11 |