| NPI | 1912916107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35-06-3784) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35-06-3784) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-12-27 |