| NPI | 1720105364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 055234) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 055234) |
| 207Q00000X Family Medicine (Licence: GA 055234) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2018-09-04 |