| NPI | 1316272099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 52680-020) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 52680-20) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2024-03-15 |