| NPI | 1831355452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.121725) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.121725) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2010039041) | |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2020-10-01 |