| NPI | 1346209301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 38976) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 38976) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2022-11-28 |