| NPI | 1649235177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.095695) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J9681) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2018-06-11 |