| NPI | 1427439629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL os20888) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 88484) |
| 208D00000X General Practice (Licence: VA 0102204571) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-09-02 |