| NPI | 1457395485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.011117) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2009032905) |
| 207L00000X Anesthesiology (Licence: AL DO-777) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-06-29 |