| NPI | 1023191012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MO R9B18) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO R9B18) |
| 207L00000X Anesthesiology (Licence: KS 04-18866) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MO R9B18) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: KS 04-18866) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-04-24 |