| NPI | 1316924657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.059357) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35059367) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2021-06-16 |