| NPI | 1598752826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 096179) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 32213) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IA 32213) | |
| 207L00000X Anesthesiology (Licence: OH 096179) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2011-07-20 |