| NPI | 1164493441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C53465) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-08-2947-R) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2015-02-27 |