| NPI | 1497986343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.126312) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C182277) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2023-11-03 |