| NPI | 1841284114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0431503) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01047392) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 0431503) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2017-07-05 |