| NPI | 1750395646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.098520) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 22683) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-04-05 |