| NPI | 1346457181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35 125368) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35125368) |
| 208M00000X Hospitalist (Licence: OH 35 125368) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-12-06 |