| NPI | 1922059799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34-009756) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS012518) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-11-04 |