| NPI | 1548528839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.139521) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.139521) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-10-06 |