| NPI | 1588620819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35-085042) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: OH 35-085042) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35-085042) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35-085042) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35-085042) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-02-09 |