| NPI | 1699723924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2002008191) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0428019) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-12-26 |