| NPI | 1770978124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD H0100207) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34.013764) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-01-13 |