| NPI | 1235306093 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.120214) | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.120214) | 
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.120214) | |
| Enumeration Date | 2008-05-12 | 
| Last Update Date | 2018-05-17 |