NPI | 1316932445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35044944K) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35044944k) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2011-03-09 |