NPI | 1124096987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0420559) |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: KS 0420559) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 0420559) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: KS 0420559) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2007-07-08 |