| NPI | 1881697142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.081544) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 81544) |
| 207L00000X Anesthesiology (Licence: IN 01055180A) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2022-01-05 |