NPI | 1285721290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD066980L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD066980L) |
207R00000X Internal Medicine (Licence: MA 60214) | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2025-09-11 |