| NPI | 1851595342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0535487) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN DO2077) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 0535487) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-07-12 |