NPI | 1528416211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101022250) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101022250) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2025-08-13 |