| NPI | 1376529818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 022955) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CT 022955) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2013-07-31 |