| NPI | 1639440902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.122655) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35 122655) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2022-02-07 |