NPI | 1396719035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 0530786) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2005018834) |
207Q00000X Family Medicine (Licence: KS 0530786) | |
207Q00000X Family Medicine (Licence: KS 05-30786) | |
Enumeration Date | 2006-02-16 |
Last Update Date | 2021-01-11 |