| NPI | 1255329819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 05-32930) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2002018397) |
| 207L00000X Anesthesiology (Licence: KS 0532950) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2014-01-30 |