| NPI | 1477591733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301042688) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.047678) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-06-06 |