| NPI | 1699898965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0053437) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: MD D53437) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-06-03 |