| NPI | 1437106838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NH 19868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 19868) |
| 207R00000X Internal Medicine (Licence: MA 50338) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2019-09-18 |