| NPI | 1962630970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: OH 35.121411) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.121411) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-12-27 |