| NPI | 1497181671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.012640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34012640) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2022-07-21 |