| NPI | 1841469202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME 2032) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58.002338) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2009-02-04 |