| NPI | 1144334012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34004364) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: OH 34.004364) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-07-18 |