| NPI | 1497982946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.123726) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 253992) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 253992) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2018-10-16 |