NPI | 1629430624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.138846) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.027812) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2020-06-25 |