NPI | 1467408344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35083611A) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: MI 4301097463) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2018-03-17 |