| NPI | 1477768208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: OH 35.090947) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-090947) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-12-27 |