| NPI | 1720031479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M9126) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.132251) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-10-02 |