NPI | 1255686697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5189) |
Additional Taxonomies | 208D00000X General Practice (Licence: OK 5189) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2025-06-19 |