NPI | 1407290141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.133289) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.133289) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.133289) | |
Enumeration Date | 2013-04-24 |
Last Update Date | 2022-02-04 |