| NPI | 1073726279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0431355) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD222605) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2026-02-05 |