| NPI | 1326359662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AL 31114) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL 31114) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2023-09-08 |