| NPI | 1831257898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35 127634) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 127634) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-04-02 |