| NPI | 1760649685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0435030) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 6933) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2012-07-09 |