| NPI | 1669646907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.097270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH RS104676) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2017-03-24 |