NPI | 1366017378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 75.000030) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 75.000030) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2021-05-21 |