| NPI | 1114931995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH NA07772) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH RN310476) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |