NPI | 1023040144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35-126836) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35-126836) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35-126836) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2024-05-14 |