| NPI | 1033193222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS7504) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS7504) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-07-03 |