| NPI | 1902126832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.123842) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 123842) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-11-08 |