| NPI | 1891908992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2024-00488) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35091412) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-09-17 |