| NPI | 1275687824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0419433) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 31261) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |