| NPI | 1356324214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MI 4301043955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301043955) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MI 4301043955) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-11-17 |