| NPI | 1790280360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 0450020) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: KS 0450020) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-11-11 |