| NPI | 1386878643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KS 04-34672) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-34672) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2017014040) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2025-12-11 |