| NPI | 1740267335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35099209) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 1060912) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2022-03-04 |