| NPI | 1821409442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A145956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.129450) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.129450) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2021-12-21 |