NPI | 1467598904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35087271) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 62109) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2013-08-26 |