NPI | 1609863000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-30794) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 0430794) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2009-10-21 |