| NPI | 1598112930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.142918) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2025-00723) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2026-03-10 |