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 |