| NPI | 1881839173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35045745) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 14517) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2010-01-19 |