| NPI | 1962623579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 05-33526) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 6638) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-07-21 |