| NPI | 1033605167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 6606) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 83851) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2024-06-14 |