| NPI | 1598987950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2011016765) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0442722) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2026-04-15 |