| NPI | 1477549525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.130017) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME87590) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2018-03-17 |