| NPI | 1881671089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-19277) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35066929) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2025-07-14 |