| NPI | 1538370028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35091034) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.008961) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2012-04-24 |