| NPI | 1003881426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE 021446) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CT E09021) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-08 |