NPI | 1205944493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.092105) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.092105) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2024-12-26 |