| NPI | 1578533006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD18299) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-064928) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2018-10-18 |