| NPI | 1265455877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 5982) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NH NH5982) |
| 208D00000X General Practice (Licence: NH NH5982) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-11-02 |