| NPI | 1467788877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2024016823) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58.003157) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2024-11-05 |