| NPI | 1821026972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.100065) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35100065S) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2009-12-17 |