NPI | 1538379656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 04-35092) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-35092) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-11-10 |