| NPI | 1841241551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04315280431528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 15-31528) |
| 207P00000X Emergency Medicine (Licence: KS 04-31528) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-12-01 |