NPI | 1164629135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 0433538) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-33538) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2024-04-08 |