| NPI | 1033493176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35-126400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57019590) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2015-08-05 |