| NPI | 1144408162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 55747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 55747) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |