| NPI | 1215940663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35057701W) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 000195) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2013-02-28 |