NPI | 1700993607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35087080) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 235488) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2017-03-30 |