| NPI | 1023239753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 0531672) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0531672) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-10-31 |