| NPI | 1306290812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: KS 04-44858) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-44858) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-09-01 |