| NPI | 1326024613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: LA MD.207514) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.207514) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2016-02-26 |