| NPI | 1154451771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 5101008066) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101008066) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-11-18 |