| NPI | 1538141577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35078819H) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 37537) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2009-12-01 |