| NPI | 1487049318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 34.014287) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34.014287) |
| 207L00000X Anesthesiology (Licence: MI 5101025305) | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2023-05-26 |