NPI | 1891857785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-17542) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2004001428) |
207LP2900X Anesthesiology Pain Medicine (Licence: KS 04-17542) | |
Enumeration Date | 2006-12-15 |
Last Update Date | 2007-07-09 |