| NPI | 1588659650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.045748) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35045748) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2009-06-16 |