| NPI | 1881033298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI FK5018014) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI FK5018014) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-08-20 |