| NPI | 1649272139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0429676) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY C4537) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2025-11-11 |