| NPI | 1053348250 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.008827)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008827)  | 
| Enumeration Date | 2006-06-26 | 
| Last Update Date | 2024-11-07 |