| NPI | 1881088193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-46462) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2020-00149) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KS 04-46462) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2022-08-03 |