| NPI | 1306881818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35086701) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35086701) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-12-13 |