| NPI | 1013166354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-35762) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: KS 04-35762) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2014-07-25 |