NPI | 1417299058 |
---|---|
Other Name | KRIS COONTZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 303154) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A157477) |
207R00000X Internal Medicine (Licence: FL ME154000) | |
Enumeration Date | 2013-03-21 |
Last Update Date | 2021-12-23 |