| NPI | 1043204100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: ID M-14451) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-14451) |
| 207X00000X Orthopaedic Surgery (Licence: ID M-14451) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-03-16 |