NPI | 1811141922 |
---|---|
Former Name | CHRISTOPHER JESSE PICKARD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: OH 35.134425) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 53420) |
207L00000X Anesthesiology (Licence: OH 35.134425) | |
207LC0200X Anesthesiology Critical Care Medicine (Licence: VA 0101246135) | |
Enumeration Date | 2008-11-17 |
Last Update Date | 2022-01-10 |