NPI | 1194955658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 34011483) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34011483) |
Enumeration Date | 2009-07-19 |
Last Update Date | 2022-01-25 |