| NPI | 1598008138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME144721) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.130215) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2020-09-29 |