| NPI | 1477130334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS20825) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL OS20825) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-07-10 |