| NPI | 1851582340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35090322) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.090322) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2024-05-21 |