NPI | 1316900210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35050935) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35050935) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2008-02-01 |