| NPI | 1134204852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 4218) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OK 4218) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-09-15 |