| NPI | 1750345823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 42253) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35080540d) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-03-10 |