| NPI | 1235125808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: RI 05160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 05160) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2010-03-22 |