| NPI | 1326009556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 04-25638) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 04-25638) |
| 207L00000X Anesthesiology (Licence: KS 04-25638) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-03-31 |