| NPI | 1083625255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: OH 35066311) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: OH 35066311) |
| 2086S0129X Surgery Vascular Surgery (Licence: OH 35066311) | |
| 207L00000X Anesthesiology (Licence: OH 35066311) | |
| 207LA0401X Anesthesiology Addiction Medicine (Licence: OH 35066311) | |
| 207LH0002X Anesthesiology Hospice and Palliative Medicine (Licence: OH 35066311) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: OH 35066311) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OH 35066311) | |
| 2086S0129X Surgery Vascular Surgery (Licence: OH 35-066311 P) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-12-30 |