| NPI | 1467646448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: NY 259312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259312) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2023-11-03 |