| NPI | 1053367391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL OS15178) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 02002196A) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-08-09 |