| NPI | 1780668376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH RN172887) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH NA00827) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-07-08 |