| NPI | 1699397661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA OS022976) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OS022976) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2023-11-21 |