| NPI | 1972720431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.097146) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 30163) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-10-12 |