| NPI | 1831179845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35084776) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA a77362) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2018-04-23 |