| NPI | 1275509275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 34-00-3509-N) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: OH 34.003509) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-04-30 |