NPI | 1003887043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35121261) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A121143) |
Enumeration Date | 2006-01-29 |
Last Update Date | 2023-10-11 |