| NPI | 1396760351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 04-00229) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35063078) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35-063078) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-11-27 |