| NPI | 1649475856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-35133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 046805) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-09-17 |