| NPI | 1295112076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2019023494) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 9408555) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2024-10-09 |