| NPI | 1083694723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 34.008449) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-008449) |
| 207Q00000X Family Medicine (Licence: OH 34.008449) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-01-10 |