| NPI | 1952144032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 1186R) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 1186R) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2026-08-13 |