| NPI | 1144343435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 4604) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 4604) |
| 207Q00000X Family Medicine (Licence: OK 4604) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-08-19 |