| NPI | 1720070956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.043872) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35043872) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-09-06 |