NPI | 1033616941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.016010) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 34.016010) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 34.016010) | |
Enumeration Date | 2018-04-07 |
Last Update Date | 2024-06-28 |