| NPI | 1245569029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0544092) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2009017024) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2022-10-31 |