| NPI | 1306845144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301050814) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35049747) |
| 207R00000X Internal Medicine (Licence: MI 4301050814) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301050814) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-04-29 |