| NPI | 1538237383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC MD36646) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101235526) |
| 208D00000X General Practice (Licence: SC MD36626) | |
| 208D00000X General Practice (Licence: SC MD36646) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-08-28 |