| NPI | 1750316964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.037302) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35037302P) |
| 207L00000X Anesthesiology (Licence: OH 35.037302P) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-11-13 |