| NPI | 1497738462 |
|---|---|
| Former Name | KARIM STEPHEN LUTZAK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD24074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD24074) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: TN MD24074) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-13 |