| NPI | 1740213396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS9890) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34-008366) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2016-01-28 |