NPI | 1790746543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35065486) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD463607) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2019-06-06 |