| NPI | 1740494046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0543362) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011023664) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-07-26 |