| NPI | 1326087800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 2710) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OK 2710) |
| 207P00000X Emergency Medicine (Licence: OK 2710) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-04-28 |