| NPI | 1548253354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 2963-320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35063540) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2023-06-05 |