| NPI | 1659397511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.084545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-084545) |
| 208M00000X Hospitalist (Licence: OH 35-084545) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-08-29 |