| NPI | 1831582261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.139603) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.139603) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2026-05-05 |