| NPI | 1831758341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS18623) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS18623) |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2024-08-15 |