NPI | 1902126832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.123842) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 123842) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2016-11-08 |