| NPI | 1851335632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 13362) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35063899) |
| 207L00000X Anesthesiology (Licence: MA 229993) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-04-06 |