NPI | 1255506341 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX P7395) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 001013) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2014-11-19 |