| NPI | 1932697893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 011373) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34.015215) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2026-04-30 |