| 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 |