| NPI | 1598997306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.004703) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: OH 34.004703) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 34.004703) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |