| NPI | 1558899716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 04-44840) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 9409174) |
| 207L00000X Anesthesiology (Licence: KS 04-44840) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2024-02-07 |