| NPI | 1780630178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 2402) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-2672) |
| 207L00000X Anesthesiology (Licence: OH 34-004298T) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-09-07 |