NPI | 1184882789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.130854) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC TL30811) |
207L00000X Anesthesiology (Licence: WI 81569) | |
Enumeration Date | 2008-05-30 |
Last Update Date | 2025-10-10 |