NPI | 1659716330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 02005620) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34.013233) |
207LP2900X Anesthesiology, Pain Medicine (Licence: OH 34.013233) | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2022-10-12 |