| NPI | 1043218803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.058388) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35058388) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2025-08-05 |