| NPI | 1952320376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD461726) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-076606) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-10-01 |