| NPI | 1710085899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.009745) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02002826A) |
| 207L00000X Anesthesiology (Licence: TX M7138) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-01-26 |