| NPI | 1134898448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1410) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22521) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-05-08 |