| NPI | 1710418298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A179912) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.141943) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2024-04-09 |