| NPI | 1447678412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 85253) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.133610) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2023-07-11 |