| NPI | 1013145572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 36821) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 7218) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2014018782) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2019-08-06 |