NPI | 1992110423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: GA 75216) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA BM6733807-Q373) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2025-07-24 |