| NPI | 1336149186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA OS005307L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS005307L) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2024-06-20 |