| NPI | 1831210616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.094849) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.094849) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-03-27 |