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 |