| NPI | 1740316181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WI 37370-020) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: WI 37370-020) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 37370-020) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-06-16 |