| NPI | 1548380348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX 8165) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX 8165) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-04-09 |