| NPI | 1043522618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: FL ME121189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME121189) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2020-01-09 |