| NPI | 1407882491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 0427335) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0427335) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-08-01 |