| NPI | 1871640946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 0432411) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35-08-4285) |
| 207L00000X Anesthesiology (Licence: KS 0432411) | |
| 207L00000X Anesthesiology (Licence: NE 33118) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NE 33118) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-09-13 |