| NPI | 1497710230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: LA MD.203558) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35080442) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2015-01-21 |