NPI | 1437545050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 57.026126) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.026126) |
207LP2900X Anesthesiology, Pain Medicine (Licence: OH 57.026126) | |
Enumeration Date | 2015-04-10 |
Last Update Date | 2024-12-03 |