| NPI | 1003014168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 107788) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KY SA170) |
| 175L00000X Homeopath (Licence: ZZ FFF/11/296) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-09-09 |