NPI | 1215278668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-50876) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5622) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2025-06-03 |