| NPI | 1750608675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-39196) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2016022194) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2016-09-01 |