| NPI | 1891949632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: KS 04-21680) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: AR N-8018) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |