| NPI | 1538123294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC MD13673) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 13673) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-11-28 |