| NPI | 1902868821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 16765) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 16765) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-09-03 |