| NPI | 1174556054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 3189) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 3189) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-05-25 |