| NPI | 1528414505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0063808) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 9408879) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2021-09-23 |