| NPI | 1477813004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35135196) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.135196) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35135196) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 6365) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2020-09-02 |