| NPI | 1174515522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2019009913) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 05-42050) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 0542050) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-03-26 |