| NPI | 1063663730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35095074) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35-095074) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35-095074) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2018-11-13 |