| NPI | 1437387396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 47354) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KY 47354) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2024-05-14 |