| NPI | 1558658914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.126332) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35126332) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-11-19 |