| NPI | 1801391842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0093452) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.151954) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-12-26 |