| NPI | 1952480535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 15210) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.088151) |
| 207P00000X Emergency Medicine (Licence: OH 88151) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-03-09 |