NPI | 1720353808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35131323) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 274059) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2018-10-15 |