NPI | 1407061385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.087726) |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: OH 35.087726) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.087726) | |
207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: OH 35.087726) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.087726) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.087726) | |
Enumeration Date | 2007-05-13 |
Last Update Date | 2010-08-19 |