| NPI | 1447236518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35064090) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35064090L) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2019-04-03 |