| NPI | 1033185731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX Q4772) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 38853020) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2025-09-05 |