| NPI | 1033103783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS16473) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS16473) |
| 208D00000X General Practice (Licence: FL OS16473) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2023-04-03 |