| NPI | 1376587311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-24431) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 04-24431) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 04-24431) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-04-24 |