NPI | 1376957498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 05-40924) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2018033161) |
207L00000X Anesthesiology (Licence: KS 05-40924) | |
Enumeration Date | 2014-06-17 |
Last Update Date | 2024-07-22 |