| NPI | 1669441275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 62692) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-094951) |
| 207L00000X Anesthesiology (Licence: VA 0101236774) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-06-18 |