NPI | 1811967177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.083722) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.083722) |
207L00000X Anesthesiology (Licence: OH 35.083722) | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2025-08-12 |