| NPI | 1104318336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 04-46496) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-46496) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.150408) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-09-02 |