| NPI | 1982815924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN md0000045532) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.007595) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2008031146) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-03-23 |