| NPI | 1346464963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.092067) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.092067) |
| 207L00000X Anesthesiology (Licence: WV 23574) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WV 23574) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2021-11-23 |