| NPI | 1235232166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: KS 04-30079) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-30079) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-08-27 |