| NPI | 1669573168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.073791) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35073791) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-12-15 |