NPI | 1861886756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.136412) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.136412) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.136412) | |
Enumeration Date | 2015-03-27 |
Last Update Date | 2024-06-28 |