| NPI | 1952477762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 18483) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 18483) |
| 208D00000X General Practice (Licence: NV 18483) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2023-09-11 |