NPI | 1215151741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.095859) |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: OH 35.095859) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-05-18 |