NPI | 1932148830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.122864) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 236129-1) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2021-07-30 |