| NPI | 1437188521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 46903) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-044005) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35-044005) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2019-10-28 |