| NPI | 1548441207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 108600211205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.089914) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2019-03-28 |