| NPI | 1578730594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 57.011314) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: OH 57.011314) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: OH 57.011314) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OH 57.011314) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |