| NPI | 1023065968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA OS009472L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS009472L) |
| 207Q00000X Family Medicine (Licence: PA OS009472L) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-01-13 |