| NPI | 1134136526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: OH 35-086980) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: OH 35-086980) |
| 207LH0002X Anesthesiology Hospice and Palliative Medicine (Licence: OH 35-086980) | |
| 207L00000X Anesthesiology (Licence: OH 35-086980) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: OH 35-086980) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-08-07 |