| NPI | 1821677881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.018164.MIL) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0076319) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-02-06 |