| NPI | 1629362868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-38067) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2021034573) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2025-05-02 |