NPI | 1770847634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-37469) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 9408000) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2023-10-16 |