| NPI | 1942731112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.141125) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57029321) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-04-07 |