| NPI | 1922413939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 05-41967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08505) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-03-11 |