NPI | 1902854250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102201001) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102201001) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2024-08-07 |